4047 Olivine DrK 718
Repuest Date Fire . Rough-in Inspectbn I Re9uiretl? ? ReatlY Now 6YWil1 NWitY Inspecror
R
??? `?'h
tl
?
? G Ves ? No en
ea
y
IW licensed contractor ? owner hereby request inspection ot above electrical work at:
J
JobAatlress (Sfreet. B`o\x p or RoutQ No.) ? e
? Ci1y ?y+
A I 1?
-! V / v I I V? 4? G(vl+
SeIXion No. Townsbip Name or No. Renge No. Col?&rw
OccupanflPPIiNT? /?J! 1I
?I •NW` 11 l...W W?4. Phone No.
PowerSuppller Atltlress
EiecVi al Go Vaaor jGomOany Name)
?? ???D ?„?
« GonVaclor5 Llcense No.
o?ra?3a
Mailing Atltlr¢ss iConvactor or Owner bnq Installatiory
(?d 8
ut f,Wc? oj
?t IJ 5?33 I
AutMatvre IConvactooOwner Making Instatlation,
, ti? Phone Numper Q
???? 11 -7?
MINNESOTA $TATE BOApD Of ELECTRIGRV THIS INSPECTION REOUEST WILL NOT
GriggrMbway Bldg. - poom 5M BE nCCEPTED BY THE STATE BOHRD
1821 Univereily Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone(6t2)662-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? 71 ^ J /? ? See InstmcGOns lor complytinq Ihis fortn on back ol yellow copy.
x 1 ? X" Be/ow Work Covered by This Request
ew AdQ Rep, 7ypeoiBUilding AppliancesWired EquipmeniWired
Home fiange Temporary Serv'ice
Duplez Water Heater Electric Heating
Apt Building Dryer Other (Speciy)
Comm./Indusirial furnace
Farm Air Contlitioner
Other(syeciry) ConVactor5 Remarks.
Compute Inspection Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Cirouits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspactor5 Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M NTHS.
I, the Electrical Inspector, hereby ^
Hou9h-in
Date
certify fhat the above inspection has
been made. Finai oaie
OFFICE USE 3NLV
Tnis raqaest void 18 months irom
arY oF Ea"N
3795 Pilot Knob Raad Eogan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be Ymd fer Fd Vnliin . . . I1nfe
$ite Address
Lat Block 5ec/Sub
Parcel #
oc Name ' chqpl ?:LaZ'ze"
W
3 nddress 047 Olivine Ur.
9 Name
?? Address ` . ? r. .
?
Neme _
Address
N! 6103
Erect Q Occuponty
AIYer 0 Zoning
Repair p Fire Zone _
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Appro vols Fees
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I hove reod this opplication ond stote tfiat gld9 Off
the information is correct ond agree to comply with all applicable --
State of Minnesota Statutes and City of Eogon Ordinances. APC Total
Signature of Permittea
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with all opplicoble State of Mfnnesota 5totutes ond City of Eagon Ordinances.
Buflding Officiol
P?M ?j Deh lawd PNaMtw
Plumbing
Mechanical
INSPECTIONS DATE INSP.
Rough-ln
Finoi
Footings --iI Date Inap. Dote Insp.
Foundation Plumbing
Frame/ins. Mechanicni
Finol
0??4
- 1 1
Remarks:
CITY OF EAGAN
Srate Edgan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK .z 1967 100. QD 5.00 20 S
SEWERLATERAL 19 7 626.25 31.31 a
WA7ERMAI N
? WATERLATERAL 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK 7 1970 70.00 3.50 20 Paid
STORM SEW LAT
CURB & GUTTER
StDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC 200.00
PARK
`f 3?4:r /owle
410 W. LAKE ST,
MINNEAPOLIS, MN 55408-2998
612/824-2656
?HEATING ANO AIR CONDITIONING CO ?
"eServiaa Tbe Tvin Citits Since 1930"
ORSAT TEST RECORD ?
L/O 117 O 1
i
1072 PAYN E AV E.
ST. PA U L, M N 55101-3892
612/772-2449
DATE HTG. INST. INSTALL?D BY
GAS LINE BY w Z ,,
, TYPE OF HEAT: GA FA (/`HW ST AM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE ¢)f, o,;?'r. k MAKE OF BURNER
MODELV
1? U ?, ddc}/ Z; ',z /'/ MOOEL
INPUT
'CONTROLS """`
THERMOSTAT ? •? HEAT PLUG VENT SIZE ? VALVE KINC OF LINER iZE t;' NONE
LIMIT ?,: DRAFT HOOD REGULATOR
LIMIT SETTING CHIMNEY CONSTRUCTION
i
FAN SETTING y , !!? DRAFT i lS? TEST TAG
PILOT TYPE LIGHTING rNST.
PILOT MAKE !t-/C •
PILOT MODEL
PILOT TIMING,_______
PRESSURE PERCENT C02 DATE TESTED
INPUT CFH %PERCENT 02
STACK TEMP. > ? PERCENT CO NAME OF TESTEP ?? ? ^-
.
MA}t. BTU RATI NG
MAKE OF FURNACE
EAGAN TOWNSHIP
BUILDING PERMIT
?. . -- 22 -?• , - -??: r?
- ?- ?
Ownes .... .............
.?,:"'.________. .
?
Add:ess.(Presenf)
Builder ....._...... ___........ ----..---.....
Address _._.....__.::.--'-:.._.__.------------------ - ___.... -....... ............
---
?
SSreei, Road or other Descriplion of Local:o
_.;
p ?--?
,E?
,z..
---- __------
TION
N° 1471
Eagan Townsh:p -
Town Hall . ?
i .
Daf=..??.--'?.:..
.. . --_i....._--------.......
Remarks
.w r,wcx . na¢Inan or '1'x
This permii does not auYhorize the use af sfreels, roads, alleys ar sidewaixs-nor aoes it give the owner or his agen!
the right So creafe any sifuation which is a nuisance or which presents a hazard !o the health, safety, convenience and
general welfare !o anyone in ihe. aommunity. . "
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGR/E55.
This is to cer2ify' iha2...?.c..E._.-.-:., ?...... _?-.y.:' ..
.?"°_ ----------------- has ermission !o ? erect a...... ??- ?- ?<< ; e-<<-?{.•?_
... P Lr.'..F_.__..;j...?........'._..__;/_.__.__.:..upon
the above dFSCribed premise subjecf !o the provisions of the Building Ordinance for Eagan 7ownship adopted April 11,
1955. ,
... ...... . . ?? Cha:rma? Tnwn Board ?? Per . _...... . I-? [r _ _?E K." . F_ ck.
Building Inspec}or_
C . (5
EAGAN TOWNSHIP
BUILDING PERM1T
owne:
Address
Suildex
Address
DESGRiPTION
N° 1662
Eagan Township
Town Hall
Dafe ....???'°°`--"-'-'-.
5lories
--- To Be Used For Fron! Depth Heigh! Esf. CosL ' Permii Fee Aemarks
? 1/
/ ..Ze1.. t, ? `J- I/.?'
TION
street, xoaa or otner uescription ox i.,ocaxion I i.ot I+s.ock I ACatiton or "tsacf
This pezmit does not auihorise the use of sireeSs, roads, alleqs or sidewalks nor does it give the owner or his ager.f
the righlio creaie any siluation which is a nuisance or which presenfs a hasard io the healSh, safaly, eonvenience and
general welfare 2o anyone in the communiSy.
THIS PERMIT MUST SE K PT ONL1'HE PREMISE WHILE TFIE WORK IS IN PROGAESS.
This is !o cerlify. ffial..... -. ..._-_.-_..-Lt?-.-•_? -_--...._.----_...._...has permission !o ereef a._.__---_ _?:'.°.''.__-.- - - - - . upon
---'-'-•-
the ebove descri6ed premise subjeeY !o provisions of the Building Ordinance tas Ea Tow ship adopled April 11.
1955. ,?
. ...... ? ."--.. Per .......------- .----1 •'--?°-`.C? C? ""_e-?f.<:?.c:?-------- .._'.'
............... .. .. ....... .?'of
airma n nwn Board ? ? Buildin- ? Inspector
CITY OF EAGAN
BUILDING PERNLZT APPLICATION 5 Include 2 sets of plans,
1_ stte plan w/elevations &
43'set of enerav calculations.
7 ?
/>
Valuation Date _
To Be Used For??. .
Site Pddress: • ,w-r OFFICE USE
ONLY
Lot 1/ Bloc7c 1W Sec./S Erect Occupancy
Alter Zoning Q i
Parcel #: Repair Fire Zone
NA EIil-ar9e TyAe of Const. ?/
Owner:
O _
Move
# Stories -
.
Pddress:
Alo?/ Demolish Front ft.
?? _
Grade Depth ft.
City/Zip Code:
Phone #: WX
Contractor:
Address:
City/Zip Code: %&, r?
Phone a: (a Vs'- e 3 3
Arch. /Ehg. :
Address:
City/2ip Code:
APPROVALS FEES
??---
Assessments r
Permit
water/Sewer Surcharge
Polioe P1an Check
Fire SAC
Eng, Water Conn.
Planner Water ^leter
Council Road Unit
Bldg. Off. .''
APC i
% Phone #: TCYPAL
CITY OF EAGAN
. ' 3795 Piloe Knob Read Eagan, MN 55722 N! 6103
. PHONE: 454•8100 '
BUILDING PERMIT APPLICATION Receipt .#
To 6e used h. ATTACHED GARAGE Est. Vnlue $4,750, pare 8-20 , 1910
Site Address 4047 Olivine Dr. e,ecr {} Occupancy M
Cedar Grove
Lor 2 elock 12 Sec/Sub 5 qlrer ? zoning Rl
.
Parcel # Repalr ? Fire Zone
t V
Enlorge ? Type o
Const. -
w Name Mio'hael Marxer Move ? # Srories _
; Address +0?+7 OliVin2 Dt. Demolish ? Front 24 ft.
° ci EBgan, 1vSi1. phone 452-4412 Grade ? Depth 22
ft.
o Name Sussel Co. Approvalf Feas
?
Address 1550 CoIIlO Ave. Assessment Permit 18.00
Water & Sew. SurcFwrge 2.50
Ci Phone 645-03 31
Police Plan check
Fw Name Fire SAC
? z0 Address Eng. Water Conn.
iw Citv Phone Plonner Water Meter
Council Road Unit
I hereby acknowledge tFwt I have read this applicotion ond state that gldg. Off.
the information is mrrect and ee to comply with all applicable APC Totol 20.50
State of Minnesom Statutes an City ot Eaga O' onces.
SignMure of Permittee A LtL
A Building Permit is issued to: SllSS21 CO. on the express conditlon rtwt
all work shall be done in occordqqnce w?ith oll a plica le Stare of Minnewta Stotutes and City of Eagan Ordinonces.
8uflding Offkial .'11«?-F (%rQ
, -?
CE, Co ? ?-?
2004 RESIDEN'I'IAL BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reauirements RemodeVReoeir Reauiremenls
3 registered site surveys showing sq. ft of lot sq. ff. o( house; and all roofed areas 2 copies of plan
(20% maximum lol coverage allowed) 1 set of Energy Calcula6ons for heatad additions
2 copies of plan showing beam & wintlow size,¢; poured tound design, etc. 1 site survey (ar addltlons & decks
1 set of Energy Calculations Adddlan -lndlcefe if onsite septk system
3 copies M Tree Preservation Plan d bt platled after 7/7193
Rim Joist Detail Options selecfion sheet (61dgs with 3 or less uniLs
..
'I1se Only
.
CeRofSUrveyftacd _,N
Trea Pres Plar Recd ,,...;Y ..--;. N.
Tree Pres Required ?Y _.., N
On,siteSePtia,SYStem '?.Y .`fJ
Date LC/ 9
4/OLL [? pA
Construcdon Cost
`
Site Address 61 1 V L Y1 e- t)p-• UniUSte #
E ccn rA?t. ,5510a
Description of Work lJCI "eC /"T «-P-$$Df ? rJL.L C7n Qn CKI 5 f!tlA S LG.h
Multi-Family Bldg _ YYN Fireplace(s) X 0 _ 1 _ 2
PropertyOwner ?ffi6im CG&Iln Telephone#(cv) ?SS- 8ab°7
Contractor S a m e-
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Mimmesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N
fee applies.
Licensed Plumber I II mm??? I II I Telephone #(
Mechanical Contractor ? @ $EP 2 4 2004 I U II Telephone #(
?
If so, 25% plan review
Sewer/WaterContractor I_ `7i/`V_ I Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Q;(I;arvt D, Ca?}l;n ?I t1 ' D. U?E::D _
Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr _N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
A 34 ReplaCement 'Demolition (Entire Bldg) • G ive PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fueplace _ R.I. _ Au Test _ Final
Insularion
REQUIRED INSPECTIONS
FinallC.O.
? FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
l'
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
ari sac
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
&*Aar r-.-
3¢? Y/V;
30
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3
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SOUTH WEST QUARTER ( 4) SECT I ON 2() TOWNSH I P '27 R
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El itA L.i?1 \-TO?WNSHIP10 13 1Z 11 10 9 8 q7? 6 5
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114.. 'J, 14 I . 86.
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Tl.46. .rA b 4 61? ? 24 ?0e99 e? 's8 ?, 9 n 10 ?^ II n 12 ??" 13 ^ IA n IS
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6? ?o ?? y$ cA 1?P1? °o I 6 r 9505 c? T3. s? az. ee. ea BA. 89 ae. a9 ea. a9 ea. ae I
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? - - TACONITE TRAIL
io3.oo? - -
iissz 115.00 90.00
s/?,T \\o. ,
15 g 22 17
2 '? .rj 100.00 8B.B9 BB.89 88.89 88.89 BB.BB 94..
_ m g & • C 3)`? 2 I "' ?\ ? $ 5? o \65 '? o d C _ ? a o
i
115.86 115.00
? 169. 14 $ m l8 _ 133.00
p b ' _ ? _ 2 m 3 n 4 n 5 M 6 7
0 14 0 9 20
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0 0? 115.00 96.00 96.00 105.00 147.45
.00 m o
133
32 8 29 28 p0 4p '
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m 13 $ m? a2o aocP o,y1 118.22
I16.94 115.00 ? I I5.00 120. SS ^ o° ?\ ' $ . 0 4
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r I ? 9 $ o"?I I?O $ 4 ? m 20 ? 133.01
12 S PUMICE POINT
11 S° 18
- ? ? °. •m _ . 131.70
8 m m ma ' 10\.8? ? ?2\.g0 115.00 ?i 116.60
117.48 - II5.00 IIS00 IISW 115.00
? q 3 0 3 100.00 90.24 95.00 12 °o o °o ? ? 8 °o u ? a I ? 10 °o . 5 21 - ? - ' -
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2f
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128 RUBY
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?.?'-? • ??°?,c•# ? ?'?/ ?/ ? 1943 MECSAIVICAL PERMIT (RESIDF.NITAL)
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
C4NDOS WHEN PERMTl'S ARE REQUIRED FOR EACH UNTT.
?, ,? , • , CTIY OF EAGAN
?? son KNOB RD
3830 PILOT
EAGAN MN 55122
(612) 681-4675
NEW CONSTRUCTIOTd
ADD-ON A/C
?- ADD-ON FURNACE DATE y , k-a.- -q -S
FE S
HVAC: 0-100 M BTU $ 24,00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1@ 53.00 EACH) :;. v C!
ADD-Oh'/REMODEL (ExlsTTrrG CoNSmUCrtox) $ 15.00
STATE SURCHARGE .50
ToTaL ? 8/??
STTE ADDRESS:--
OWNER NAME: TEL.EPHONE #: t-u'?jl --7iC
INSTALLER:
4101:'EST L1;KE :; i PEET
ADDRESS:- ?.., F[:= ?.?s-
? PHO?IE ?iZ4•26b? _ J
ClTY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERNI E
1993 MECHAHICAL PERMIT (CONII?SERCIAL)
CITY OF EAGAN
3830 PIIAT IaVOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL CONIIv1ERCIALJINDUSTRIAL BUILDINGS. AISO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONT'RACT PRICE: $
1% OF P(?NTR,AGT' FEE $
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
$25.00
$25.00
$.50 FOR EACH $1,000 OF rrJMU FEE.
$
STTE ADDRESS:
OWNER NAME: 'I'ELEPI-IOi+IE-#: - -
TENANI' NAME: (IMPROVEMENTS ONLl)
a >,... . _ _ , .,.. ,
INSTALLER:
ADDRFSS:
CITY:
TELEPI-IONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITI'EE CITY WSPECTOR
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- ciiy of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 19
Block 3, Lots 1-11 11
BloCk 4, Lots 7-16 16
BloCk 5, Lots 1•25 25
BloCk 6, Lots 1-22 22
Block 7, Lots 1-25 25
BloCk 8, Lots 1-5 5
BloCk 9, Lots 1-2 2
Block 10, Lots 1-23 23
BloCk 11, Lots 7-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15 15
208
The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edwa-rd J.?'irscht
Sr. Engineering Technician
cc: Mike Foertsch
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Use BLUE or BLACK Ink
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Permit#:
City of Ea
I Permit Fee:
3830 Pilot Knob Road I - I
Eagan MN 55122 Date Received: f?
(6 1) 67575-5675
Fax: I ~ I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date -2 0_ C) Site Address: `"f 0 ~ 7 0/1'U cell C Unit
Name: Phone:
Resident/ ,
Owner Address /City /Zip: V
Applicant is: Owner Contractor
Type of Work Description of work:.- ~0 O-P
3
f Construction Cost: O Multi-Family Building: (Yes / No /l )
Company: p f' ' Contact: 12 ' ~~I`69~ t ~cA' 110'~ec
' Contractor Address C tl) . City: FCA V~G~G
I Stater Zip: Phone:~7 _ .Jb b `12,!!30
T~ License Lead Certificate
1~ 6,,? 6~
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of 3
the information may be classified as non-public if you provide specific reasons that would permit the City to j
conclude that the are trade secrets. '
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota uildin ode ust be completed within 180
days of permit issuance. /
x lWe A lti 4 1 x
Applicants Printed Name Iicant"s Signa
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